FIO-FOOD, Food Insecurity in people living with Obesity - improving sustainable and healthier food choices in the retail FOOD environment.

FIO-FOOD，肥胖人群的粮食不安全 - 改善零售食品环境中可持续和更健康的食品选择。

• 批准号: BB/W018020/1
• 负责人: Alexandra Johnstone
• 金额: $ 269.84万
• 依托单位: University of Aberdeen
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=BB%2FW018020%2F1
• 关键词: FIO; FOOD; Food; Insecurity; people

Obesity levels in the UK represent a key public health issue, with 67% of its population living with overweight or obesity. People living with obesity are more likely to experience a range of health issues including heart conditions, and Type 2 diabetes. They are also more likely to be living in areas of high deprivation. Reducing obesity levels has been a public health priority in the UK for decades but we have not yet managed to achieve that goal. This is partly due to the range of factors that influence body weight. One key challenge facing people living with obesity is being able to afford a healthy, balanced diet. Nutritionally poor and energy-dense foods that are often ultra-processed, are cheaper and more readily available. To start to address this challenge, we need better evidence on how to support healthier food purchasing patterns to improve their health and wellbeing, while considering environmental impact and sustainability. Food insecurity is 'the state of being without reliable access to a sufficient quantity of affordable, nutritious food'. Families on low incomes are more likely to be food insecure and they spend a greater proportion (three quarters) of their monthly food budget in supermarkets. Supermarket promotions, advertising, and online product placement decisions can impact this group's access to healthy foods. Importantly, healthy diets also need to be sustainable in terms of greenhouse gas emissions, water consumption, and land use; described as the 'sustainability footprint'. Our research will bring together food insecure people living with obesity, consumers, retailers, policy makers, and academics to co-develop and test strategies that can support future transformative potential in the food system. Our diverse team of academic experts in social science, applied health, obesity, and data science, will combine our knowledge of large-scale population data with an understanding of lived experiences of food shopping for people living with obesity and food to develop practical solutions to promote sustainable and healthier food choices in this group. To achieve this, we have designed an innovative four-part project. Perspective: we will work with people living with obesity and food insecurity to understand the key issues facing them while shopping. We will also engage with the retail sector and policy makers to understand their perspectives too. This will identify limitations and barriers of current strategies and scope out future opportunities for our project to make sure our work remains relevant and useful. Big Data: we will use anonymous large-scale data (from >1.6 million shoppers) obtained from a national high-street supermarket (retailer) to understand what foods people buy, how healthy these purchases are, their sustainability footprints and how these choices vary across different household types including those on low income. This will help identify in- store changes that would encourage healthier and more sustainable food purchasing for people living with obesity and food insecurity. Solution Space: we will use the findings from the first two parts of this project to co-design new approaches and test these in-store and online assess their effect on healthier and sustainable food purchasing behaviours. We will also test and measure the effectiveness of these strategies in a group of people who are actively seeking to lose weight (MoreLife patient cohort) and living with food insecurity. This will help to identify strategies that can help transform supermarkets to promote healthier and more sustainable foods. Delivery: we will engage with food producers, food retailers, patient groups, policy makers, and charity group representatives to ensure our project is relevant and transformative. We will do this by sharing our findings with those groups, using webinars, social media, workshops, and research briefing notes.

英国的肥胖水平是一个关键的公共卫生问题，67%的人口超重或肥胖。肥胖症患者更容易出现一系列健康问题，包括心脏病和2型糖尿病。他们也更有可能生活在高度贫困的地区。几十年来，降低肥胖水平一直是英国公共卫生的优先事项，但我们尚未设法实现这一目标。这部分是由于影响体重的因素的范围。肥胖症患者面临的一个关键挑战是能够负担得起健康，均衡的饮食。营养不良和能量密集的食物往往是超加工的，更便宜，更容易获得。为了开始应对这一挑战，我们需要更好的证据来证明如何支持更健康的食品购买模式，以改善他们的健康和福祉，同时考虑环境影响和可持续性。粮食不安全是“无法可靠地获得足够数量的负担得起的营养食品的状态”。低收入家庭更有可能粮食无保障，他们每月食品预算的大部分（四分之三）用于超市。超市促销、广告和在线产品植入决策会影响这一群体获得健康食品的机会。重要的是，健康的饮食还需要在温室气体排放、水消耗和土地使用方面具有可持续性，即“可持续性足迹”。我们的研究将汇集与肥胖，消费者，零售商，政策制定者和学者共同开发和测试可以支持未来粮食系统变革潜力的战略。 我们多元化的社会科学，应用健康，肥胖和数据科学学术专家团队将联合收割机结合我们对大规模人口数据的了解，了解肥胖和食品人群的食品购物体验，以制定切实可行的解决方案，促进这一群体的可持续和更健康的食品选择。为了实现这一目标，我们设计了一个由四部分组成的创新项目。视角：我们将与肥胖和粮食不安全的人合作，了解他们在购物时面临的关键问题。我们还将与零售业和政策制定者接触，以了解他们的观点。这将识别当前战略的局限性和障碍，并为我们的项目寻找未来的机会，以确保我们的工作仍然具有相关性和有用性。大数据：我们将使用从全国商业街超市（零售商）获得的匿名大规模数据（来自> 160万购物者），以了解人们购买的食品，这些购买的健康程度，其可持续性足迹以及这些选择在不同家庭类型（包括低收入家庭）中的差异。这将有助于确定店内的变化，鼓励肥胖和粮食不安全的人购买更健康和更可持续的食品。解决方案空间：我们将利用该项目前两部分的研究结果，共同设计新的方法，并在店内和网上测试这些方法，评估它们对更健康和可持续的食品购买行为的影响。我们还将测试和测量这些策略在一组积极寻求减肥（MoreLife患者队列）和生活在粮食不安全中的人中的有效性。这将有助于确定有助于超市转型的战略，以促进更健康和更可持续的食品。交货方式：我们将与食品生产商，食品零售商，患者团体，政策制定者和慈善团体代表合作，以确保我们的项目具有相关性和变革性。我们将通过网络研讨会、社交媒体、研讨会和研究简报与这些团体分享我们的发现来做到这一点。

项目成果

The cost-of-living crisis is feeding the paradox of obesity and food insecurities in the UK.

生活成本危机加剧了英国肥胖和粮食不安全的矛盾。

• DOI: 10.1002/oby.23740
• 发表时间: 2023
• 期刊: Obesity (Silver Spring, Md.)
• 作者: Johnstone A

Understanding the barriers to purchasing healthier, more sustainable food for people living with obesity and food insecurity

了解肥胖和粮食不安全人群购买更健康、更可持续食品的障碍

• DOI: 10.31219/osf.io/3xe7w
• 发表时间: 2023
• 作者: Stone R